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CASE REPORT
Year : 2021  |  Volume : 11  |  Issue : 2  |  Page : 102-105

Use of single-cannula extracorporeal membrane oxygenation in the pulmonary artery to provide right heart support during respiratory failure in a drowning victim


1 Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami Miller School of Medicine; Department of Jackson, Memorial Hospital, Jackson Health System, Miami, FL, USA
2 Department of Anesthesiology, Perioperative Medicine and Pain Management, University of Miami Miller School of Medicine; Department of Ryder Trauma Center, Jackson Health System, Jackson Health System, Miami, FL, USA

Correspondence Address:
Dr. Jack Louro
Department of Anesthesiology, Perioperative Medicine, and Pain Management, University of Miami Miller School of Medicine, 1611 NW 12th Ave. (T-215) Miami, FL 33136
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/IJCIIS.IJCIIS_68_20

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Acute respiratory distress syndrome (ARDS) and respiratory failure can occur after drowning. Some of these patients do not respond to conventional mechanical ventilation and require extracorporeal membrane oxygenation (ECMO). Patients with severe respiratory failure can also develop acute right heart failure. We describe a case of a young drowning victim who developed ARDS and subsequent right heart failure. The patient was initiated on venovenous ECMO with right atrial to pulmonary artery cannulation of ECMO using the Protek Duo (TandemLife, Pittsburgh, PA, USA). The patient recovered from his ARDS and heart failure and was successfully liberated from ECMO. We will discuss the utility of ECMO in drowning victims and the use of this unique cannulation strategy to support the right ventricle in patients with concomitant respiratory failure.


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